Adenocarcinoma of the Stomach
Conditions
Keywords
gastrectomy, gastric cancer, oral feeding, complications
Brief summary
The aim of this study is to evaluate the possibility of shortening postoperative hospital stay after gastrectomy by early oral feeding as a component of an enhanced recovery protocol (ERAS).
Interventions
Oral fluids starting on POD 1, followed by a soft diet (thin purée six times a day) on day 2, and regular solid diet thereafter
Sponsors
Study design
Eligibility
Inclusion criteria
* Total gastrectomy for cancer * Age 18 - 80 years * Informed consent
Exclusion criteria
* Numerous hepatic and peritoneal metastases * Extended resections (pancreas, colon) * Preoperative malnutrition requiring total parenteral nutrition * Emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative hospital stay | Participants will be followed for the duration of hospital stay, an expected average of 8 days | Time between surgery and patient discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Morbidity | Participants will be followed for the duration of hospital stay, an expected average of 8 days | Any complication occurring during hospital stay |
Other
| Measure | Time frame | Description |
|---|---|---|
| Re-admissions | 30 days after discharge | Hospital readmissions within 30 days after discharge |
| Effective oral feeding | Participants will be followed for the duration of hospital stay, an expected average of 8 days | Time to reach oral feeding covering 75% of patient's requirements |
| Quality of life | Preoperatively, postoperative day 7, 14 days after discharge | Quality of life measured by EORTC QLQ-C30 and EORTC QLQ - STO22 |
| Laboratory parameters | Preoperatively, postoperative day 1 and 8 | Laboratory tests, including lymphocyte count, blood albumin, blood prealbumin |
Countries
Poland